Evaluation of the effectiveness of restoring balance function in military personnel with lower limb amputations: a clinical case

Abstract

In the context of a full-scale war in Ukraine, the number of service members with limb amputations is increasing rapidly, highlighting the urgent need for effective rehabilitation strategies. Lower limb amputations significantly impair balance and motor function due to changes in the body's center of mass, loss of proprioception, and muscle weakness. This study examines a modern, structured approach to balance restoration in military personnel with lower limb amputations, using a stabilographic platform as an objective tool for evaluating functional recovery. The case study of a 37-year-old serviceman with transfemoral amputation illustrates the application of a three-stage rehabilitation model: initial assessment, training with feedback, and periodic evaluation. The stabilographic method enables quantitative analysis of balance parameters such as pressure center displacement and frequency spectrum of sway, under both visual control and vestibular dominance conditions. The study proposes the use of a progress ratio formula to monitor rehabilitation efficacy and individual recovery trajectories. Findings confirm the utility of stabilography for tracking adaptation to prostheses and optimizing personalized rehabilitation plans. The proposed model may be of practical value in developing national standards for the rehabilitation of military amputees in Ukraine.